The bill specifically alters eligibility criteria by raising income thresholds and abolishing resource limitations, which may significantly impact individuals who previously felt discouraged from applying due to resource constraints. Individuals earning between 150% to 350% of the federal poverty level can now participate with reduced premium obligations. By ensuring that individuals can retain Medicaid benefits while employed, SB 384 could foster a more inclusive workforce and reduce dependency on state assistance.
Summary
Senate Bill 384 amends Indiana's Medicaid program by removing the consideration of countable resources in determining eligibility for the Medicaid buy-in program. This change allows individuals to qualify for participation in the program based solely on their income, thus enabling a broader audience to access Medicaid benefits. Additionally, the bill entails that individuals' participation in an employment network recognized by the federal Social Security Administration can qualify them for employment services, promoting integration of employment opportunities for those with disabilities.
Contention
Some discussion points highlight concerns regarding potential overburdening of the Medicaid program due to increased enrollment from higher-income individuals who can now participate. Critics may argue this could detract from care quality or sustainability of resources within the program. Balancing increased access against the capability of the program to provide adequate care is likely to be a prominent contention as further assessments and adjustments are needed post-implementation.
Relating to the system redesign for delivery of Medicaid acute care services and long term services and supports to persons with an intellectual or developmental disability and a pilot for certain populations with similar functional needs receiving services in managed care.